Marat L Reyzelman in Marietta - Clinical Neurophysiology
Marat L Reyzelman - NPI 1255516019
Marat L Reyzelman is a Clinical Neurophysiology in Marietta, Georgia. Marat L Reyzelman practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Marat L Reyzelman is 1255516019. The last update date is 2018-10-26.
Marat L Reyzelman's current location address is 780 Canton Road, Marietta, Georgia. You can contact this provider via phone number 7704223602 and fax number 7704218112. The mailing address for Marat L Reyzelman is 780 Canton Road, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Marat L Reyzelman |
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Address | 780 Canton Road, Marietta, Georgia |
Phone Number | 7704223602 |
Fax Number | 7704218112 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1255516019 |
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Provider Enumeration Date | 2007-12-29 |
Last Updated Date | 2018-10-26 |
Provider Mailing Address Detail
Address | 780 Canton Road |
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City | Marietta |
State | Georgia (GA) |
Post Code | 30060 |
Phone Number | 7704223602 |
Fax Number | 7704218112 |
Provider's Primary Taxonomy Detail
Speciality | Clinical Neurophysiology |
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Taxonomy | 2084N0600X |
Licence No | 58768 |
Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
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What is the unique identifier code issued to Marat L Reyzelman by the Centers for Medicare & Medicaid Services (CMS)?
The Marat L Reyzelman has been assigned the NPI (National Provider Identifier) 1255516019. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Marat L Reyzelman?
The Marat L Reyzelman is physically situated at 780 Canton Road, in the city of Marietta, state of GA, with the postal code 30060.
What is Marat L Reyzelman's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marat L Reyzelman's area of specialization is Clinical Neurophysiology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0600X.
When was the Marat L Reyzelman's 1255516019 issued?
The Marat L Reyzelman's 1255516019 was issued on 2007-12-29.
As of what date were the details related to Marat L Reyzelman most recently updated or revised?
The information pertaining to Marat L Reyzelman, including its address, specialty, and other relevant details, was last updated or revised on 2018-10-26.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY